Submit Requests

Name of requesting individual*

Your email address*

Surgeon's Name*

Patient Last Name

Location

Procedure

Date of case*

Open the calendar popup.

Select the Anesthesiologists/CRNA's you would like to perform the anesthesia. You may select more than one. Hold the command key while selecting to choose multiple providers.

All

Selected

Joe Camacho, MD
Shawn Carpenter, MD
Kwame Eagleton, MD
Brad Emanuel, MD
Lara Felts, MD
Dean Flaten, MD
Chris Hubener, MD
Jamey Iverson, MD
Max Jolly, MD
D Pete Miller, DO
Mike Mueller, MD
Harsh Nathani, MD
Phuong Nguyen, MD
Vinh Pham, MD
Sara Powell, DO
Fernando Salgado, MD
Eric Shampaine, MD
Brandon Wheeler, DO
Jason Williams, MD
Joni Young, MD
Marna Atkinson, CRNA
Shelley Barger, CRNA
Kayla Beckham, CRNA
Bryan Broddle, CRNA
Andrea Davis, CRNA
Anthony Enriquez, CRNA
George Findley, CRNA
Zach Goudie, CRNA
Billye Hammond, CRNA
Taylor Hawkins, CRNA
Jaimie Hay, CRNA
Dana Howes, CRNA
Jon Hundley, CRNA
Sarah Landers, CRNA
Bryce Lang, CRNA
Linda Le, CRNA
Dean Leahy, CRNA
Taylor Lewis, CRNA
Mackenzie Lock, CRNA
Greg Metzen, CRNA
Amy Mott, CRNA
Chris Norris, CRNA
Andrew Rhynes, CRNA
Whitney Schmidt, CRNA
Amy St John-Foster, CRNA
Kate Stevens, CRNA
Shelby Tencleve, CRNA
Gage Walker, CRNA
Kerstin Womacks, CRNA

Instructions and comments

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